ʻEha ke kuli mua

ʻO kaʻeha o ke kuli mua kahi ʻeha e kū i mua a ma waena o ke kuli. Hiki ke kumu ʻia i nā pilikia like ʻole, e like me:

• ʻO Chondromalacia o ka patella - ka palupalu a me ka haki ʻana o nā mea (cartilage) ma ka ʻaoʻao o ka kneecap (patella)
• ʻO ke kuli o Runner - i kekahi manawa i kapa ʻia ʻo patellar tendinitis
• ʻO ka syndromeal compression lateral - ka mea hou o ka patella i ka ʻaoʻao i waho o ke kuli
• ʻO Quadriceps tendinitis - kaʻeha a me ke aloha ma ka hoʻopili quadriceps tendon i ka patella
• Hoʻopilikia ʻole ʻo Patella - ka hiki ʻole o ka patella ma ke kuli
• ʻO Patella arthritis - ka haki cartilage ma lalo o kāu kneecap

Noho kou kneecap (patella) ma mua o ka hui o kou kuli. Ke kūlou a pololei paha i kou kuli, lele ka lalo o ka patella ma luna o nā iwi e hana ana i ke kuli.

Kōkua nā olonā ikaika i ka hoʻopili ʻana i nā kneecap i nā iwi a me nā mākala e hoʻopuni ana i ke kuli. Kāhea ʻia kēia mau lepe:

• ʻO ka tendon patellar (kahi e pili ai ka kneecap i ka iwi shin)
• ʻO ka tendona quadriceps (kahi e hoʻopili ai nā ʻūhā o ka ʻūhā i ka piko o ka kneecap)

Hoʻomaka ka ʻeha o ke kuli i mua ke neʻe ʻole ka kneecap a ʻōpala i ka ʻaoʻao haʻahaʻa o ka iwi o ka ʻūhā. Hiki paha kēia no ka mea:

• ʻO ke kneecap kahi i kahi kūlana maʻamau (i kapa ʻia hoʻi ka maikaʻi ʻole o ka hoʻohui patellofemoral).
• Aia ka paʻa a nāwaliwali paha o nā mākala ma mua a ma hope o kou ʻūhā.
• Ke hana nei ʻoe i nā hana he nui loa i kau i ke koʻikoʻi hou ma ka kneecap (e like me ka holo ʻana, lele a wili paha, skiing, a pāʻani ʻana paha i ka soccer).
• ʻAʻole kaulike kou mau mākala a nāwaliwali paha kou mau mākala koʻikoʻi.
• ʻO ke uka i ka ʻūhā kahi e hoʻomaha ai ka kneecap ma kahi o ka papau.
• He mau wāwae pālahalaha kou.

ʻOi aku ka ʻeha o ke kuli i mua i:

• ʻO ka poʻe kaona kaupaona
• ʻO ka poʻe i loaʻa i ka dislocation, haki, a i ʻole nā ​​ʻeha ʻē aʻe i ka kneecap
• ʻO nā kūkini, nā lele, nā holoholo, nā kaʻa kauika, a me nā mea pāʻani pōpeku e hoʻoikaika pinepine
• ʻO nā ʻōpio a me nā ʻōpio ʻōpio olakino, ʻoi aku pinepine nā kaikamahine

ʻO nā kumu kūpono ʻē aʻe o ka ʻeha o ke kuli i mua:

• Pākuʻi
• ʻO ka pinching o ka uhi o loko o ke kuli i ka neʻe (i kapa ʻia synovial impingement a i ʻole plica syndrome)

ʻO ka ʻeha o ke kuli mua kahi kūmū, ʻehaʻeha e ʻike pinepine ʻia:

• Ma hope o ke kneecap (patella)
• Ma lalo o ka kneecap
• Ma nā ʻaoʻao o ka kneecap

ʻO kahi hōʻailona maʻamau ka grating a i ʻole ka wili ʻana i ka wili o ke kuli (ke hoʻokokoke ʻia ka kuʻekuʻe wāwae i hope o ka ʻūhā).

E ʻike hou ʻia nā ʻōuli me:

• Kūlou nā kuli hohonu
• Ke iho nei i nā ʻanuʻu
• Ke holo nei i lalo
• Kū i luna ma hope o ka noho ʻana no kekahi manawa

E hana ka mea mālama ola i kahi hoʻokolohua kino. E palupalu paha ke kuli a pehu. Eia kekahi, ʻaʻole e hoʻopili pono ʻia ka kneecap me ka iwi ʻūhā (femur).

Ke kuʻi ʻoe i kou kuli, ʻike paha ʻoe i kahi wili i lalo o ka kneecap. Ke ʻeha nei ke kaomi ʻana i ka kneecap ke hoʻopololei ana ke kuli.

Makemake paha kāu mea hāʻawi iā ʻoe e hana i kahi wāwae wāwae hoʻokahi e nānā i ke kaulike ʻole o nā mākala a me kāu paʻa paʻa.

Maʻamau pinepine nā kukuna X. Eia nō naʻe, hiki i kahi hiʻohiʻona x-ray kūikawā o ka kneecap ke hōʻike i nā hōʻailona o ke kuamoʻo a i ʻole ke kuhi ʻana.

ʻAʻole makemake nui ʻia nā scri MRI.

Ke hoʻomaha nei i ke kuli no kahi manawa pōkole o ka manawa a me ka lawe ʻana i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen, naproxen, a aspirin paha e kōkua i ka ʻeha.

Nā mea ʻē aʻe hiki iā ʻoe ke hana e hōʻoluʻolu i ka ʻeha o ke kuli i mua:

• Hoʻololi i kāu ʻano hoʻoikaika kino.
• E aʻo i nā hoʻolālā e hoʻoikaika a hoʻonui i nā quadriceps a me nā mākala hamstring.
• E aʻo i nā hoʻoikaika kino e hoʻoikaika i kāu kumu.
• Lilo kaupaona (inā ʻoi aku kou kaumaha).
• E hoʻohana i nā mea hoʻokomo kāmaʻa kūikawā a me nā mea kākoʻo (orthotics) inā he mau wāwae pālahalaha kou.
• Kālepa i kou kuli e hoʻokau hou i ka kneecap.
• E komo i nā kāmaʻa holo a haʻuki kūpono paha.

Kākaʻikahi, pono ka ʻoki no ka ʻeha ma hope o ka kneecap. Ma ke ʻoki kino:

• Kneecap cartilage i hōʻino ʻia hiki ke hoʻoneʻe ʻia.
• Hiki ke hoʻololi ʻia i nā lekiō e kōkua ai i ka kneecap e neʻe me ke kaulike.
• Hoʻonohonoho hou ʻia paha ʻo Kneecap e ʻae i kahi neʻe hui ʻoi aku ka maikaʻi.

Hoʻonui pinepine ka ʻeha o ke kuli i mua me ka loli o ka hana, hoʻoikaika kino, a me ka hoʻohana ʻana i nā NSAID. ʻAʻole makemake iki ʻia ke ʻoki.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o kēia maʻi.

Maʻi maʻi Patellofemoral; Chondromalacia patella; Kukuli o Runner; Patellar tendinitis; Kuli o Jumper

• ʻO Chondromalacia o ka patella
• Kuli kukini

DeJour D, Saggin PRF, Kuhn VC. Nā maʻi o ka hui patellofemoral. I: Scott WN, hoʻoponopono. Insall & Scottʻoki kino o ke kuli. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 65.

ʻO McCarthyM, ʻo McCarty EC, ʻo Frank RM. ʻEha Patellofemoral. I: Miller MD, Thompson SR, eds. ʻO DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 106.

ʻO Teitge RA. Nā maʻi Patellofemoral: ka hoʻoponopono ʻana i ka nunui rotational o ka piko o lalo. I: Noyes FR, Barber-Westin SD, hua. Nā maʻi kuli o Noyes: ʻoki kino, hoʻoponopono hou ʻana, nā hopena maʻi. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 36.